Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.65 / $212.65 / $212.65	Facility		$212.65	$212.65	$212.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.65 / $326.57 / $1,456.46	Professional		$212.65	$326.57	$1,456.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.82 / $346.42 / $412.77	Professional		$259.82	$346.42	$412.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.57 / $236.57 / $236.57	Facility		$236.57	$236.57	$236.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $236.56 / $236.57	Professional		$172.70	$236.56	$236.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.92 / $433.66 / $650.49	Professional		$346.92	$433.66	$650.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.94 / $121.94 / $325.91	Facility		$121.94	$121.94	$325.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $236.57 / $508.20	Professional		$172.70	$236.57	$508.20
United Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $188.88 / $284.52	Professional		$171.50	$188.88	$284.52